Abstract

BackgroundCor triatriatum is a very rare congenital abnormality, usually symptomatic during childhood, diagnosis in adult age is less common.Case PresentationWe report the case of a 40 years old woman referred to our hospital for atrial flutter ablation, transthoracic cardiac bidimensional echocardiography showed an abnormal membrane bisecting the left atrium, the diagnosis of cor triatriatum was fully made via three dimensional transesophageal echocardiography. More interstingly three other cardiac anomalies were associated: ostium secundum atrial septal defect, dilated coronary sinus due probably to persistent left superior vena cava and normally functioning bicuspid aortic valve.ConclusionsCor triatriatum sinister in adult life is important to recognize because it may be easily surgically correctable when hemodynamically significant. Three Dimensional transesophageal echocardiography is a minimally invasive and highly sensitive diagnostic modality.

Highlights

  • Cor triatriatum is a very rare congenital abnormality, usually symptomatic during childhood, diagnosis in adult age is less common.Case Presentation: We report the case of a 40 years old woman referred to our hospital for atrial flutter ablation, transthoracic cardiac bidimensional echocardiography showed an abnormal membrane bisecting the left atrium, the diagnosis of cor triatriatum was fully made via three dimensional transesophageal echocardiography

  • We report the case of a 40 years old woman hospitalized for atrial flutter ablation and in whom cor triatriatum was incidentally diagnosed

  • We reported a unique case of cor triatriatum associated bicuspid aortic valve, ostium secundum atrial septal defect and dilated coronary sinus probably due to persistent left superior vena cava left (PLSVC)

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Summary

Conclusions

Cor triatriatum sinister in adult life is important to recognize because it may be surgically correctable when hemodynamically significant. Three Dimensional transesophageal echocardiography is a minimally invasive and highly sensitive diagnostic modality

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